栀子仁（
朱砂煎 治外障顽翳赤脉。
明朱砂（细研水飞） 硼砂 蕤仁（去内外心） 海螵蛸（去壳） 脑子 上研令极细
如粉。更加入麝香少许。同研干点。障白浓重者。加马牙硝少许同研。
（附论）
夫眼疾始于浅浮。久而弗图。变为内障者。非一端也。龙木论内障。皆有其渐。盖从一
眼先患。后乃相牵俱损。是肝肾气虚。风邪热毒上攻眼目。气血衰微。久则为害。但不疼不
痛。久无眵泪。目视如轻烟。或如薄雾。或见垂丝。或见蝇翅。或见蚊飞。其初若无足虑。
及其成是障。则慢不知省。今以将变内障者叙之。盖图难于易之意也。
龙木论云。五风变内障。此眼初患之时。头旋偏痛。亦是脏腑虚劳。肝风为本。或因一
眼先患。或因呕吐双暗。毒风入眼。兼脑热相侵。致令眼目失明。初觉即须急药。宜服除风
汤、通明丸、补肾丸即效。
歌曰。乌丝青风及黑黄。甚嗟宿世有灾殃。后有脑脂流结白。真如肉色又如霜。医人不
识将针拨。翳障不明却自伤。
雷头风变内障。此眼初患之时。头面多受热毒。风冲头旋。由如热病相似。俗号为雷头
风。或呕逆恶心。年多冲入眼内。致令失明。或从一眼先患。瞳仁或大或小不定。后乃相牵
俱损。眼前昏黑。不辨三光。初觉有患。宜服泻肝汤磁石丸立效。
歌曰。俗号雷头热毒风。年多冲入眼睛中。瞳仁或大时或小。坐对三光黑不红。脑热流
脂来结白。医师不了便针通。虽然翳坠根据前暗。自愧庸医枉用功。
方
补肝丸 治眼昏暗。将变成内障。
杏仁 茺蔚子 青葙子 枸杞子 五味子 茯苓（去皮） 决明子（各一两） 干地黄
（三两） 菟丝子（二两） 山芋 车前子 地骨皮（焙） 柏子仁 大黄 细辛（去苗叶）
甘草（炙锉） 人参 黄芩（去黑心） 黄连（去皮） 防风（去叉各一两半） 上为末炼
蜜和丸如梧桐子大每服二十丸食后米饮下。临卧时再服加至三十丸。
秦皮散 治眼昏晕。不以年月深浅。恐变为内障。
秦皮（去粗皮） 菥 子 车前子 大蓝实 防风（去叉） 决明子（炒各二两） 瞿
麦穗 升麻
柏（去粗皮炙） 羚
临卧服。
空青丸 治眼目昏暗。渐变内障。
空青（半两别研飞过） 茺蔚子 五味子（炒） 细辛（去苗叶） 蔓荆实 柏子仁（别
研） 蒺藜子（去角炒） 枸杞子 人参（去芦头） 石龙苗 防风（去叉各一两） 决明
子（炒） 菟丝子（
大。食后。以竹叶汤
菊花丸 治眼昏暗。渐成内障。
菊花（二两） 黄连（去须） 槐子（各一两半） 车前子 茺蔚子 青葙子 地肤子 决
明子（微炒） 菥菟子 苦参 防风（去叉） 黄芩（去黑心） 蕤仁（各一两） 上为末。
炼蜜和丸
黄 丸 治肝虚劳。兼及膀胱。久积虚冷。目眩见花不明。渐成内障。
黄 （锉） 白茯苓（去黑皮） 石斛（去根各二两） 鹿茸（去毛酥炙一两半） 五
味子（炒二两）
为末。炼蜜和丸。如梧桐子大。每服二十丸。空心酒下。渐加至三十丸。
泻肝汤 治雷头风变内障。
防风 茺蔚子（各二两） 五味子 细辛 黄芩 桔梗 大黄 芒硝（各一两） 车前
子（一两半） 上为末。以水一盏。散一钱。煎至五分。食后去滓温服。
除风汤 治五风变内障。
羚羊角 车前子（各二两） 芍药 人参 茯苓 大黄 黄芩 芒硝（各一两） 上为
末。
以水一盏。散一钱。煎至五分。食后去滓温服。
通明补肾丸 治证同前。
车前子 石决明 桔梗 芍药（各一两） 细辛（一两） 大黄（一分） 茺蔚子 生
干地
黄（各二两） 上为末。炼蜜为丸。如梧桐子大。空心茶下十丸。
石决明丸 治眼昏暗。渐成内障。
石决明 槐子 熟干地黄（各一两） 阳起石（一两酒煮半月研极细水飞过）
磁石（一两半烧
苁蓉（一两酒浸一宿刮去皮炙干） 上为细末。炼蜜和捣三二百杵。丸如梧桐子大。食后盐
汤下二十丸。渐加
补肾丸 治目暗浮花。恐变成黑风内障。
泽泻（去苗叶） 细辛（去苗叶各一两） 五味子（炒一两） 熟干地黄（焙） 茺蔚
子（各二两） 山
捣外。捣罗为
末。再和
磁石丸 治雷头风变内障。
磁石（烧赤醋淬三遍） 五味子（炒） 牡丹皮 干姜 黑参（各一两） 附子（炮裂
去皮脐半两）
羚羊角饮 治眼渐暗。及睹浮花。恐变成青风内障。
羚羊角（镑） 地骨皮（洗） 人参 羌活（去芦头） 玄参 车前子（各一两） 上
粗捣筛。每服三钱。水一盏。煎至七分。去滓。食后临卧温服。
泻肺饮 治肝虚雀目恐变成内障。
防风（去叉） 黄芩（去黑心） 桔梗（锉炒） 大黄（锉炒） 芍药（各一两） 上
粗捣筛。每服三钱。水一盏半。煎至一盏。入芒硝半钱。去滓。食后临卧温服。
Zhi Zi Ren (Gardenia Seed Kernel)
Zhu Sha Jian (Cinnabar Decoction) treats stubborn nebulae and red vessels caused by external eye disorders.
Ming Zhu Sha (Refined Cinnabar, finely ground and processed by water flotation), Peng Sha (Borax), Rui Ren (Buckthorn Fruit Kernel, inner and outer hearts removed), Hai Piao Xiao (Cuttlefish Bone, shell removed), Nao Zi (Camphor). Grind the above ingredients into an extremely fine powder, like flour. Add a small amount of She Xiang (Musk) and grind together uniformly. Use as a dry powder for instillation into the eyes. If the white nebula is thick and severe, add a small amount of Ma Ya Xiao (Mirabilite) and grind together.
(Attached Discussion)
Eye diseases begin with superficial and mild symptoms. If not planned for treatment over a long period, they transform into internal cataracts for various reasons. The *Long Mu Lun* discusses internal cataracts, noting their gradual progression. Generally, it starts in one eye and then affects the other, causing mutual damage. This is due to deficiency of Qi in the Liver and Kidney, with Wind pathogenic factors and Heat toxins attacking the eyes from above, leading to decline in Qi and Blood. Over time, this causes harm. However, there is no pain or itching, and for a long time, there are no eye discharges or tears. Vision appears like light smoke, or like thin fog, or seeing hanging threads, or seeing shadows like fly wings, or seeing mosquitoes flying. Initially, it may seem negligible, but once such obstructions form, one becomes slow to realize and reflect. Here, we describe cases about to become internal cataracts, embodying the principle of "attending to difficulties while they are easy" (addressing problems before they escalate).
The *Long Mu Lun* states that Five Winds transforming into internal cataracts: at the initial onset of this eye disease, there is dizziness and unilateral headache. This is also due to deficiency and exhaustion of the Zang-Fu organs, with Liver Wind as the root cause. It may be because one eye was affected first, or due to vomiting causing bilateral dimness, with toxic Wind entering the eyes, combined with Heat in the brain invading mutually, resulting in blindness of the eyes. Upon initial discomfort, urgent medication is required. It is suitable to take Chu Feng Tang (Wind-Expelling Decoction), Tong Ming Wan (Clear-Bright Pill), and Bu Shen Wan (Kidney-Nourishing Pill) for immediate effect.
Song says: Wu Zhu (Black Pupil), Qing Feng (Green Wind), and Hei Huang (Black Yellow); Alas, calamities from past lives. Later, brain fat flows and结s white, truly like flesh color or like frost. Physicians do not recognize it and use needle extraction; unclear nebulae lead to self-harm.
Lei Tou Feng (Thunder Head Wind) transforming into internal cataracts: at the initial onset of this eye disease, the head and face are often subjected to Heat toxins. Wind rushing causes dizziness, resembling a febrile disease. Commonly known as Lei Tou Feng. Or accompanied by vomiting and nausea. After many years, it rushes into the eyes, causing blindness. Or starting in one eye, the pupil size varies不定 (uncertain), later affecting both mutually. The vision ahead is dim and dark, unable to distinguish the Three Lights (sunlight, moonlight, lamplight). Upon initial suspicion of illness, it is suitable to take Xie Gan Tang (Liver-Draining Decoction) and Ci Shi Wan (Magnetite Pill) for immediate effect.
Song says: Commonly called Lei Tou Re Du Feng (Thunder Head Heat-Toxic Wind), after many years it rushes into the eyes. The pupil is sometimes large, sometimes small; sitting facing the Three Lights, it is black and not red. Brain heat and flowing fat accumulate to form white; physicians who do not understand proceed with needle insertion. Although the nebula falls based on prior darkness, I feel ashamed that mediocre doctors waste effort.
Formulas
Bu Gan Wan (Liver-Nourishing Pill) treats dim vision, about to become internal cataracts.
Xing Ren (Apricot Seed), Chong Wei Zi (Chervil Fruit), Qing Xiang Zi (Celosia Seed), Gou Qi Zi (Goji Berry), Wu Wei Zi (Schisandra Berry), Fu Ling (Poria, peel removed), Jue Ming Zi (Cassia Seed) (each 1 liang), Gan Di Huang (Rehmannia Root, dried) (3 liang), Tu Si Zi (Dodder Seed) (2 liang), Shan Yu (Dioscorea Tuber), Che Qian Zi (Plantago Seed), Di Gu Pi (Lycium Bark, baked), Bai Zi Ren (Biota Seed), Da Huang (Rhubarb Root and Rhizome), Xi Xin (Asarum, roots and leaves removed), Gan Cao (Licorice Root, roasted and cut), Ren Shen (Ginseng Root), Huang Qin (Scutellaria Root, black heart removed), Huang Lian (Coptis Rhizome, peel removed), Fang Feng (Saposhnikovia Root, forked parts removed) (each 1.5 liang). Grind all into powder, mix with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose after meals with rice drink. Take again before sleep, increasing to 30 pills.
Qin Pi San (Qin Bark Powder) treats dizzy vision, regardless of the duration of the disease, fearing transformation into internal cataracts.
Qin Pi (Qin Bark, coarse bark removed), Xi Mai Zi (Thlaspi Seed), Che Qian Zi (Plantago Seed), Da Lan Shi (Isatis Fruit), Fang Feng (Saposhnikovia Root, forked parts removed), Jue Ming Zi (Cassia Seed, stir-fried) (each 2 liang), Qu Mai Sui (Knotweed Flower Spike), Sheng Ma (Cimicifuga Rhizome), Bai Bo (Thuja Leaf, coarse bark removed and roasted), Ling Yang Jiao (Antelope Horn). Take before sleep.
Kong Qing Wan (Azurite Pill) treats dim vision, gradually becoming internal cataracts.
Kong Qing (Azurite, half liang separately ground and floated), Chong Wei Zi (Chervil Fruit), Wu Wei Zi (Schisandra Berry, stir-fried), Xi Xin (Asarum, roots and leaves removed), Man Jing Shi (Vijaya Fruit), Bai Zi Ren (Biota Seed, separately ground), Ji Li Zi (Tribulus Fruit, horns removed and stir-fried), Gou Qi Zi (Goji Berry), Ren Shen (Ginseng Root, rhizome removed), Shi Long Miao (Equisetum Herb), Fang Feng (Saposhnikovia Root, forked parts removed) (each 1 liang), Jue Ming Zi (Cassia Seed, stir-fried), Tu Si Zi (Dodder Seed)... Large... After meals, with Zhu Ye Tang (Bamboo Leaf Decoction)...
Ju Hua Wan (Chrysanthemum Pill) treats dim vision, gradually forming internal cataracts.
Ju Hua (Chrysanthemum Flower) (2 liang), Huang Lian (Coptis Rhizome, whiskers removed), Huai Zi (Sophora Seed) (each 1.5 liang), Che Qian Zi (Plantago Seed), Chong Wei Zi (Chervil Fruit), Qing Xiang Zi (Celosia Seed), Di Fu Zi (Kochia Fruit), Jue Ming Zi (Cassia Seed, lightly stir-fried), Xi Mai Zi (Thlaspi Seed), Tu Si Zi (Dodder Seed), Ku Shen (Sophora Root), Fang Feng (Saposhnikovia Root, forked parts removed), Huang Qin (Scutellaria Root, black heart removed), Rui Ren (Buckthorn Fruit Kernel) (each 1 liang). Grind all into powder, mix with refined honey to make pills...
Huang ... Wan (Yellow ... Pill) treats Liver deficiency and exhaustion, involving the Bladder, long-standing accumulation of deficiency-cold, vertigo with visual spots and unclear vision, gradually forming internal cataracts.
Huang ... (cut), Bai Fu Ling (Poria, black skin removed), Shi Hu (Dendrobium Stem, roots removed) (each 2 liang), Lu Rong (Deer Antler without hair, roasted with butter) (1.5 liang), Wu Wei Zi (Schisandra Berry, stir-fried) (2 liang). Grind into powder, mix with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose, empty stomach with wine, gradually increasing to 30 pills.
Xie Gan Tang (Liver-Draining Decoction) treats Lei Tou Feng transforming into internal cataracts.
Fang Feng (Saposhnikovia Root), Chong Wei Zi (Chervil Fruit) (each 2 liang), Wu Wei Zi (Schisandra Berry), Xi Xin (Asarum), Huang Qin (Scutellaria Root), Jie Geng (Platycodon Root), Da Huang (Rhubarb Root and Rhizome), Mang Xiao (Mirabilite) (each 1 liang), Che Qian Zi (Plantago Seed) (1.5 liang). Grind all into powder. Take 1 qian of powder with 1 sheng of water, decoct to 0.5 sheng. Strain and take warm after meals.
Chu Feng Tang (Wind-Expelling Decoction) treats Five Winds transforming into internal cataracts.
Ling Yang Jiao (Antelope Horn), Che Qian Zi (Plantago Seed) (each 2 liang), Shao Yao (Peony Root), Ren Shen (Ginseng Root), Fu Ling (Poria), Da Huang (Rhubarb Root and Rhizome), Huang Qin (Scutellaria Root), Mang Xiao (Mirabilite) (each 1 liang). Grind all into powder. Take 1 qian of powder with 1 sheng of water, decoct to 0.5 sheng. Strain and take warm after meals.
Tong Ming Bu Shen Wan (Clear-Bright Kidney-Nourishing Pill) treats conditions same as above.
Che Qian Zi (Plantago Seed), Shi Jue Ming (Abalone Shell), Jie Geng (Platycodon Root), Shao Yao (Peony Root) (each 1 liang), Xi Xin (Asarum) (1 liang), Da Huang (Rhubarb Root and Rhizome) (1 fen), Chong Wei Zi (Chervil Fruit), Sheng Gan Di Huang (Fresh Rehmannia Root, dried) (each 2 liang). Grind all into powder, mix with refined honey to make pills the size of Sophora seeds. Take 10 pills with tea, empty stomach.
Shi Jue Ming Wan (Abalone Shell Pill) treats dim vision, gradually forming internal cataracts.
Shi Jue Ming (Abalone Shell), Huai Zi (Sophora Seed), Shu Gan Di Huang (Prepared Rehmannia Root) (each 1 liang), Yang Qi Shi (Opus Auripigmenti, 1 liang boiled in wine for half a month, ground extremely fine and floated in water), Ci Shi (Magnetite, 1.5 liang calcined...) , Cong Rong (Cistanche Stem, 1 liang soaked in wine overnight, scraped, peeled, roasted and dried). Grind all into fine powder, mix with refined honey and pound 300-200 times, make pills the size of Sophora seeds. Take 20 pills with salt water after meals, gradually increasing...
Bu Shen Wan (Kidney-Nourishing Pill) treats dim vision with floating flowers, fearing transformation into Black Wind Internal Cataract.
Ze Xie (Alisma Rhizome, roots and leaves removed), Xi Xin (Asarum, roots and leaves removed) (each 1 liang), Wu Wei Zi (Schisandra Berry, stir-fried) (1 liang), Shu Gan Di Huang (Prepared Rehmannia Root, baked), Chong Wei Zi (Chervil Fruit) (each 2 liang), Shan ... Outside pounding. Pound and sieve into powder. Mix again...
Ci Shi Wan (Magnetite Pill) treats Lei Tou Feng transforming into internal cataracts.
Ci Shi (Magnetite, calcined red and quenched in vinegar three times), Wu Wei Zi (Schisandra Berry, stir-fried), Mu Dan Pi (Moutan Bark), Gan Jiang (Dried Ginger), Hei Shen (Black Ginseng) (each 1 liang), Fu Zi (Aconite Lateral Root, processed, cracked, peel and navel removed) (half liang)...
Ling Yang Jiao Yin (Antelope Horn Infusion) treats eyes gradually dimming and seeing floating flowers, fearing transformation into Green Wind Internal Cataract.
Ling Yang Jiao (Antelope Horn, shaved), Di Gu Pi (Lycium Bark, washed), Ren Shen (Ginseng Root), Qiang Huo (Notopterygium Rhizome, rhizome removed), Xuan Shen (Scrophularia Root), Che Qian Zi (Plantago Seed) (each 1 liang). Coarsely grind and sieve. Take 3 qian per dose, with 1 sheng of water, decoct to 0.7 sheng. Strain and take warm after meals and before sleep.
Xie Fei Yin (Lung-Draining Infusion) treats Liver deficiency Sparrow Eye (Night Blindness), fearing transformation into internal cataracts.
Fang Feng (Saposhnikovia Root, forked parts removed), Huang Qin (Scutellaria Root, black heart removed), Jie Geng (Platycodon Root, cut and stir-fried), Da Huang (Rhubarb Root and Rhizome, cut and stir-fried), Shao Yao (Peony Root) (each 1 liang). Coarsely grind and sieve. Take 3 qian per dose, with 1.5 sheng of water, decoct to 1 sheng. Add Ban qian of Mang Xiao (Mirabilite). Strain and take warm after meals and before sleep.